Examination
Get parents to bring photos of genetic family
Position
Prone
Supine
Trendelenburg
reverse trendelenberg
Fowlers
semifowlers
lithotomy
Ex yourself/parent/toy first to easy anxiety in child
tape measure
stadiometer
scales
sats probe
BP cuff
Thermometer
Glucose stick
Urine dipstick
otoscope
ophthalmoscope
dermatoscope
General
Appearance (bring family photos)
Generally for any area: Scars, swelling deformity
Anthropometry
Most common deviation is familial > check parents
Mid parental height is ave +/- 6.5cm
Vitals (Use CORRECTED age! for BP plus ?others)
ENT - Otoscope aka auroscope (overlaps with neuro/resp/gastro)
Neurological
Ophthalmologic - Ophthalmascopy
Ophthalmoplegia (weakness)
Strabismus (coordination) (horizontal/vertical/torsional)
Manifest S. aka heterotropia = present without cover
Latent S. aka heterophoria = present only with cover
Amblyopia = blindness in a structurally normal eye (strabismus/anisometropia/occulusion)
Renal
Gastrointestinal
Dental/Maxfax
Orthopaedic
Development/intellectual/ emotional /behavioural/social
Cultural differences (chopsticks)
Position
Prone
Supine
Trendelenburg
reverse trendelenberg
Fowlers
semifowlers
lithotomy
Ex yourself/parent/toy first to easy anxiety in child
tape measure
stadiometer
scales
sats probe
BP cuff
Thermometer
Glucose stick
Urine dipstick
otoscope
ophthalmoscope
dermatoscope
General
Appearance (bring family photos)
- Distinguishing features (dysmorphism)
- Downs, ..
- Injuries
- Aids - hearing, walking, glasses
- Mobility / Gait
- Language
- Medic alert bracelet
Generally for any area: Scars, swelling deformity
Anthropometry
Most common deviation is familial > check parents
Mid parental height is ave +/- 6.5cm
Vitals (Use CORRECTED age! for BP plus ?others)
- RR, O2
- HR, BP (lying, standing) width = 40% of circ, length =80%. Big cuff = low reading + vv
- Temp (axillary)
- BSL
ENT - Otoscope aka auroscope (overlaps with neuro/resp/gastro)
- sinuses
- Tachypnea: fast
- Hyperpnea: deep
Neurological
Ophthalmologic - Ophthalmascopy
Ophthalmoplegia (weakness)
Strabismus (coordination) (horizontal/vertical/torsional)
Manifest S. aka heterotropia = present without cover
Latent S. aka heterophoria = present only with cover
- exotropia (out aka wall eyed)
- esotropia (in aka cross eyed)
- hypertropia (up)
- hypotropia (down)
Amblyopia = blindness in a structurally normal eye (strabismus/anisometropia/occulusion)
Renal
Gastrointestinal
Dental/Maxfax
- edentia
Orthopaedic
- Anterior fontanelle, max 2cm at 1mo, closed 14m ave (range 3m-24m)
- Posterior fontanelle
- Urine/serum bHCG
- Abnormal voluntary movement scale (AVMS) - assesses Tardive Dyskinesia (usually from long term antipsychotic medication)
- Akathesia - inability to sit still (antipsychotic treatment, any drug withdrawal)
Development/intellectual/ emotional /behavioural/social
Cultural differences (chopsticks)